How much rates vary
Facilitymedian $37 · 10th to 90th $25 to $200Professionalmedian $50 · 10th to 90th $30 to $427
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $25.12 Median $37.15 Typical High $199.53 | Facility | None | $25.12 | $37.15 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $426.58 | Professional | None | $30.20 | $30.20 | $426.58 |
Ambetter Setting Professional Modifier AA · Anesthesiologist Typical Low $100.00 Median $109.65 Typical High $120.23 | Professional | AA · Anesthesiologist | $100.00 | $109.65 | $120.23 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $63.10 Median $100.00 Typical High $125.89 | Professional | QX · CRNA, directed | $63.10 | $100.00 | $125.89 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $79.43 Median $100.00 Typical High $181.97 | Professional | QZ · CRNA, independent | $79.43 | $100.00 | $181.97 |
BCBS South Carolina Setting Professional Modifier AA · Anesthesiologist Typical Low $104.71 Median $112.20 Typical High $199.53 | Professional | AA · Anesthesiologist | $104.71 | $112.20 | $199.53 |
BCBS South Carolina Setting Professional Modifier QX · CRNA, directed Typical Low $30.20 Median $52.48 Typical High $95.50 | Professional | QX · CRNA, directed | $30.20 | $52.48 | $95.50 |
BCBS South Carolina Setting Professional Modifier QZ · CRNA, independent Typical Low $83.18 Median $102.33 Typical High $125.89 | Professional | QZ · CRNA, independent | $83.18 | $102.33 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $199.53 Typical High $398.11 | Professional | None | $181.97 | $199.53 | $398.11 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $251.19 Typical High $512.86 | Professional | None | $95.50 | $251.19 | $512.86 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $6.03 | $6.03 | $6.03 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $97.72 Median $107.15 Typical High $125.89 | Professional | QK · Directing 2–4 cases | $97.72 | $107.15 | $125.89 |